Te Arawhata Totika - Wairarapa DHB

Te kAuwAe ruNGA Te kAuwAe rArO
Explains the combining of indigenous knowledge with knowledge drawn from other cultures
Establishing a relationship with local Iwi
The Decade of Mäori Development
1980–1990
During the period known as the Decade of Mäori
Development (1980–1990) a number of initiatives
focusing upon hauora were developed and
implemented. These were associated with the
then Area health Boards.
in particular the wanganui Area health Board, the
Taranaki Area health Board became the leaders
in this area and developed specific relationships
with local iwi and provided health services that met
the expressed need of Mäori. Other Area health
Boards followed; Ngäti whatua and waipareira
Trust, (Auckland) Ngäti kahungunu, (Taiwhenua o
heretaunga) hawkes Bay, to cite a few. Over this
period the numbers of Mäori providers increased
dramatically from a mere twenty to over 200.
Ngäti Kahungunu Ki Wairarapa
involvement in hauora was always part of the history
of Ngäti kahungunu ki wairarapa and is part of
the history of wairarapa iwi. As an outcome of the
Papawai hui a whänau in 1996 it was negotiated
by the then Taiwhenua of Ngäti kahungunu ki
wairarapa that the establishment and development
of community based health services be organised
under the umbrella of this organisation. Services
provided included whänau health, kaumätua health,
nutrition and physical activity and health promotion.
This organisation, named by kaumätua, became
known as whäiora whänui and in 2000 develop ed
into an independent health service provider.
Rangitäne O Wairarapa
As one of the mandated iwi authority of the area,
rangitäne have an obligation to ensure that
the health of their people is maintained. The
organisational arm known as rangitäne O
wairarapa iwi incorporated provide a range of
services including whakapapa, kaumätua support,
cultural services, social and health services,
and environmental advice and research.
Te Hauora Runanga O Wairarapa
Te hauora runanga o wairarapa was establish ed
in the early nineties. Funding came directly
from the Ministry of health and was extremely
minimal. The growth of hauora since it was first
conceived has been impressive in that they have
established themselves in the community as an
essential provider of whänau ora services. They
have become a diverse provider of kaupapa
Mäori service provision and continue to provide
a range of quality health services to wairarapa
com munity maintaining the philosophy of whänau
ora as the model that underpins all its future
developments. hauora has received accreditation
across three health standards: health and disability,
alcohol and drug, and mental health. They have
increased the number of staff and contractual
services provided to the people of wairarapa and
have embedded themselves in the community
as a quality kaupapa Mäori service provider.
Whäiora Whänui Inc.
in 1996 at a hui a whänau at Papawai Marae the
people conveyed to the facilitators that there was
a need for a community based health service to
serve Mäori throughout the wairarapa district. A
small group developed a proposal for a service that
focused upon the health and wellbeing of whänau.
initially it was thought that this service would have
a base in both the North and South wairarapa.
The decision was made to develop health services
within Ngäti kahungunu Taiwhenua o wairarapa.
This health service became known as whäiora
whänui and was based in Masterton but served
the whole of the wairarapa. in May 1997 whäiora
whänui went live with 1.5 health professionals and a
limited amount of clerical support. whäiora whänui,
became a reality and in January 2000 it became
a separate organisational entity with a growing
number of Ministry of health contracts. rangitäne o
wairarapa pioneered the Family Start programme
that since 2005 now sits with whäiora.
Te Arawhata Tötika Cultural Competency Framework
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